Gynaecology & Obstetrics

20 learning units • 100 chapter sections • 200 explained questions. Assess pregnancy and reproductive health, recognise emergencies and plan respectful treatment, referral and follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 04 / 20

Hypertensive Disorders & Eclampsia

Recognise maternal organ involvement and distinguish pressure control from seizure prevention.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Can pre-eclampsia occur without proteinuria? A. NoB. Yes, with other qualifying dysfunctionC. Only before conceptionD. Only with normal blood pressure

Question 02. Which symptom is concerning in a hypertensive pregnant patient? A. Stable mild nasal itchB. An old healed scarC. A normal appetite aloneD. Severe headache with visual disturbance

Question 03. What is the main purpose of antihypertensive treatment? A. Control elevated blood pressureB. Replace every seizure treatmentC. Diagnose fetal growthD. Remove protein from urine directly

Question 04. What is magnesium sulfate used for in the appropriate obstetric protocol? A. Eclamptic seizure treatment and selected prophylaxisB. Sole treatment of every raised pressureC. Routine treatment of all headachesD. Treatment of every anaemia

Question 05. Should severe hypertension await routine outpatient follow-up? A. Yes, if proteinuria is absentB. No, it needs prompt obstetric assessment and treatmentC. Only if the fetus movesD. Only if pain is mild

Question 06. Why monitor during magnesium treatment? A. Monitoring is unnecessaryB. It always causes toxicityC. To assess response and detect toxicityD. It replaces all other observations

Question 07. What determines delivery timing in pre-eclampsia? A. Gestation alone in every caseB. Maternal and fetal condition, gestation and responseC. Patient height aloneD. The urine dip alone

Question 08. Can eclampsia first present postpartum? A. YesB. NoC. Only during a contractionD. Only before 20 weeks

Question 09. What should postpartum review include after a hypertensive pregnancy? A. Blood pressure, symptoms and appropriate longer-term risk reviewB. Only the infant’s weightC. Immediate cessation of all careD. No medication review

Question 10. New breathlessness after discharge in this context requires what? A. Reassurance as inevitable recoveryB. Waiting for the next pregnancyC. Only extra sleepD. Urgent assessment

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References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

NICE NG133 — Hypertension in pregnancy

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.